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W008
W008 – Nursing home or home for the aged - additional subsequent visits
OHIP Consultations and Visits Code — CONSULTATIONS AND VISITS · Schedule of Benefits
An intermediate assessment is a primary care service for a patient in a long-term care institution (chronic care hospital, convalescent hospital, nursing home, home for the aged, or designated chronic/convalescent care bed). It is a subsequent visit following the patient's admission to the institution and requires a history of the presenting complaint(s), inquiry concerning, and examination of the affected part(s), region(s), system(s), or mental or emotional disorder as needed to make a diagnosis, exclude disease, and/or assess function.
Note: This service is a component of the Monthly Management of a Nursing Home or Home for the Aged Patient (W010) and is not separately payable if W010 is claimed for the same calendar month by the most responsible physician (MRP). See - for details.
Appropriate medical records must be kept to establish that an insured service was provided, the service claimed is the service rendered, and the service was medically necessary, as per .
As an assessment, this service includes the specific elements outlined in , including a direct physical encounter, history taking, physical examination, and appropriate documentation of these components in the medical record.
Submit claims for acute intercurrent illnesses requiring visits other than special visits using W121. When acute intercurrent illness requires a special visit, submit claims using the appropriate fees under General Listings ('A' prefix) and premiums.
When a physician is already in the institution and is asked to assess one of his/her own in-patients, the subsequent visit listings ('W' prefix) apply. However, if he/she is already in the institution and asked to assess another physician's patient on an emergency basis, submit claims using the General Listings ('A' prefix).
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